Tropical Weight Loss
Tropical Weight Loss
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"Abdominoplasty and panniculectomy in the overweight and obese patient presents as a surgical decision-making challenge for the treating surgeon," Dr. Hammond and coauthors write. Due to their increased risk of complications, patients are commonly advised to lose weight before undergoing body contouring surgery.
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Read More »Tummy tuck surgery (abdominoplasty) yields high patient satisfaction and improved quality of life in patients who are overweight or obese – despite a substantial risk of complications, reports a study in the October issue of Plastic and Reconstructive Surgery®, the official medical journal of the American Society of Plastic Surgeons (ASPS). An "overwhelming majority" of overweight/obese patients are happy with the results of abdominoplasty, according to the study by Dennis C. Hammond, MD, and colleagues of Partners in Plastic Surgery of West Michigan, Grand Rapids. They write, "A real quality of life improvement can be obtained by offering body contouring even in the face of obesity, with the caveat that the risk of minor postoperative complications is high." Risks Are Higher, But Body Contouring Has Real Benefits for Patients with Increased BMI Abdominoplasty is an effective procedure to improve the appearance of the abdomen. However, this and other body contouring procedures have historically been discouraged in overweight or obese patients. That reflects concerns that increased body mass index (BMI) may increase the risk of wound healing problems and other complications. The researchers analyzed the outcomes of tummy tuck surgery in 46 overweight/obese patients over a 12-year period. The patients were 41 women and five men, average age 49 years. All had a BMI of 25 or higher, with an average BMI of 32. (A BMI of 25 or higher is considered overweight, while a BMI of 30 is the cutoff point for obesity.) Eighty percent of patients underwent abdominoplasty, most often including a procedure to restore weakened or separated abdominal muscles. The remaining 20 percent had a procedure called panniculectomy to eliminate excess, "hanging" abdominal fat and skin. The researchers analyzed the outcomes of surgery, including complication rates and patient-rated outcomes. Nearly half of patients had some type of complication. About 39 percent had minor complications, requiring office procedures or antibiotics. About nine percent of patients had major complications requiring a return to the operating room – mainly due to wound healing problems and/or fluid collections. Thirty-six patients completed follow-up surveys an average of 15 months after their procedure. Ninety-four percent of patients were satisfied with the results of abdominoplasty/panniculectomy, while 97 percent stated they would choose to have the procedure again. Ninety-seven percent of patients said the procedure had improved their quality of life. Nearly half of patients said they lost additional weight after surgery. "Abdominoplasty and panniculectomy in the overweight and obese patient presents as a surgical decision-making challenge for the treating surgeon," Dr. Hammond and coauthors write. Due to their increased risk of complications, patients are commonly advised to lose weight before undergoing body contouring surgery. The researchers note, "Even with weight loss, the excess skin and fat...will not completely recede and can still present as an impediment to normal function and exercise." While acknowledging the increased risks, they offered abdominoplasty or panniculectomy to overweight/obese patients "in an attempt to relieve the discomfort and physical effects of the excess skin and fat and offer the potential to jumpstart a weight loss process." The authors believe their results support this strategy. Although complications were frequent, most were minor and readily manageable, and many patients lost more weight after surgery. Dr. Hammond and colleagues conclude: "[E]ven in the face of this elevated complication rate, patient satisfaction is overwhelmingly high, making body contouring procedures in this patient population an acceptable option in appropriately selected patients."
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Read More »This is what might politely be called the chubby category, with body mass indexes (a measure of weight for height) of 25 to 30. A woman, for instance, who is 5 feet 4 inches tall and weighs between 146 and 175 pounds.
HEALTH and beauty. They seem inextricable. That smiling, slender woman on the cover of Self magazine. The ripped guy looking out from the pages of Men’s Health. They’re thin. Their eyes are bright. They look like they’re bursting with energy. They may well be. But they might be better off if they had listened to their grandmother and put a little meat on those bones. Chubby, it turns out, may be the new healthy. Who knows if it will be the new beautiful. Two years ago, federal researchers found that overweight people had the lowest mortality rate of any weight group. Investigating further, they were able to link causes of death to specific weights. Obese people had more deaths from heart disease, they reported last week. And thin people? They had more deaths from everything but cancer and heart disease. But there were 100,000 fewer deaths among the overweight than would have been expected if those people had been of normal weight. This is what might politely be called the chubby category, with body mass indexes (a measure of weight for height) of 25 to 30. A woman, for instance, who is 5 feet 4 inches tall and weighs between 146 and 175 pounds.
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